An Explanation of Various Current Chiropractic Adjustment Techniques:
The Chiropractic profession is unique in its approach to treating health problems. While medicine has one major approach in treating a health problem, Chiropractic has many different approaches in treating the same problem. Chiropractors focus on dysfunctions that can result from irregularities of spinal and joint structure, or movement. They rely heavily on hands-on procedures to determine structural and functional problems... and they use manipulation to promote normal bodily function in order to assist in correcting or preventing these structural deviations.
The principal procedure used by many chiropractors is a form of spinal vertebral and joint manipulation known as "adjustment" that refers to a variety of manual or mechanical interventions.
Adjustments are applied to spinal and peripheral joints (shoulders, elbows, hands, knees, feet) that are subluxated (not moving properly and/or out of alignment) and help return the joints to their normal position relieving pain, avoiding degeneration, restoring nerve function, strength and allowing the body to begin the natural healing process. There are many different types of adjustments in a chiropractor's repertoire, with new adjusting technique procedures being developed as time goes on. While undergoing an adjustment, it is important that the patient remain relaxed for this generally painless procedure to be most effective.
In general, a chiropractic adjustment is the use of a specific, controlled movement (force) generally painless in a precise direction consisting of a short amplitude and high velocity thrust that moves the joint beyond where patient's muscles could move the joint by themselves, but short of ligament injury. A certain speed of the thrust is employed to ensure that the patient's muscles have no time to contract and so restrict the movement. A "cracking or popping" sound may be heard during the thrust. This is caused by gases in the synovial fluid (the lubricating fluid inside each joint capsule) and is harmless. These gases are flushed away by the circulatory system.
Mobilization, on the other hand, refers to movements administered by the clinician within physiologic joint space in order to increase overall range of motion. Both the manipulation and mobilization procedures help to stretch the joint capsule and surrounding tissues.
Most chiropractors will treat only the joint that they believe is misaligned or subluxated. Some, however, may treat the whole spine which is Dr. Pisarek's philosophy and method of chiropractic care, or concentrate only on one area.
There are many different adjusting techniques in chiropractic. All techniques are effective in treating chiropractic issues depending on how much "expertise" your Chiropractor has in any given technique. Each chiropractor becomes highly skilled in a variety of adjustment procedures that are most suitable for your age, body type and condition. The types of techniques offered by a chiropractic clinic helps to define the type of care you will receive from your Chiropractor. Some clinics offer only one or two different adjusting techniques, while others will offer more. No one clinic provides every technique.
Chiropractors use a myriad of techniques often named after the college they attended or a person that developed the particular method of adjusting. Chiropractic techniques are not to be confused with "diagnostic modalities", which are methods used to analyze your symptoms and diagnose what care or treatment is needed. Some chiropractors utilize other healing techniques such as nutrition, lifestyle advice, acupuncture (laser, electronic, needle-insertion) and registered massage therapies. These therapies are not "chiropractic" but may be used by a chiropractor in treating a patient.
Below, we have attempted to compile a brief description of common techniques widely used today in the chiropractic profession.
At Advanced Healthcare, Dr. Pisarek may use a single technique or a combination of a few techniques when treating his patients. The type of technique utilized is based upon the patient's presenting complaints, symptoms, condition, age, body type, needs and outcomes expected.
Listed alphabetically, the techniques have been divided into 2 groups; those that we administer at Advanced Healthcare, and then the rest:
1 - The following techniques are provided at Advanced Healthcare: